Medical Training Review Panel: fourteenth report

Appendix C: Glossary of Terms

Page last updated: 11 March 2011

Prevocational Training

Postgraduate Year 1 (PGY1)

The year of supervised clinical training completed by graduates of an Australian Medical Council (AMC) accredited medical school and international medical graduates holding an AMC Certifi cate. This is also known as the intern year.

Satisfactory completion is a requirement for full medical registration.

Postgraduate Year 2 (PGY2)

The year of structured supervised clinical training placements, commenced once medical practitioners have completed their internship and gained general medical registration.

Vocational Training

Vocational Training Positions and Programs

Applicant

A medical graduate, including an international medical graduate, who applies in open competition for entry to a vocational training program. Due to variation in college training programs, an applicant may apply for a training post or training program within an accredited training hospital department or other type of accredited facility.

Successful Applicant

An applicant who has been offered and has accepted a place in a training program.

Trainee

A medical practitioner who has been accepted by a specialist medical college or General Practice Education and Training (GPET) into a position supervised by a member of the accredited specialist medical college or training provider for the purposes of completing the set vocational training program. Non Australian trainees who are being trained overseas through an Australian medical college are not included in this category.

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Basic Training

A period of defi ned training required by some specialist medical colleges to be undertaken in order to meet eligibility criteria for entering an advanced training program.

Advanced Training

A period of defi ned and structured education and training that, when successfully completely, will result in eligibility to apply for fellowship of a specialist medical college and to practise as a specialist. In some cases this must be preceded by completion of basic training requirements.

Completion and Successful Completion

When the trainee has successfully completed all examination and clinical requirements of the training program and is eligible to apply for fellowship and to practise as a specialist.

Year of Training

The year of training currently being undertaken by a trainee in a training program, as it relates to their progression through the program.

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Discontinuation

The trainee is no longer pursuing the completion of a training program, either when the trainee has offi cially withdrawn from the training program or when the college or training provider has terminated or dismissed a trainee in accordance with college regulations or employment conditions.

Trainees who have been given approved extended leave are excluded.

Rural or Remote Recognised Vocational Positions or Trainees

Vocational positions or trainees who are based in rural and remote areas. These are currently defi ned according to the Rural, Remote and Metropolitan Areas Classifi cation (RRMA). A detailed explanation of this classifi cation system can be found at:
http://www.health.gov.au/internet/main/publishing.nsf/Content/work-st-bmp-info-toc

Medical College Accreditation

Accreditation

The process by which a college determines whether its specifi ed requirements for the clinical experience, infrastructure and educational support required of a hospital, other facility or training position are met.

Re-accreditation

An accreditation of a hospital, other facility or training position that has previously been accredited by the college.

Accreditation Period

The accreditation period begins when the college receives a formal request for assessment and ends when the hospital or other facility undergoing accreditation is notifi ed of the recommendation by mail.

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Appeals

Appeals include review and reconsideration processes and formal appeals.

Medical College Examinations

Eligibility to Sit Exams

The trainee has fulfi lled the eligibility criteria necessary to sit a college examination as prescribed by that college.

Trainees Sitting

The total number of trainees who sat an examination given by a college in Australia.

Pass Rate

The proportion of all trainees sitting examinations in the specifi ed period who passed.

College Fellows

Fellow

A medical practitioner who has either completed a college training program, or has been overseas trained and exempted from assessments for admission into the college, and has been admitted to fellowship of the college.

New Fellow

A fellow who has been admitted to the specialist college in the year of data collection.

International Supply

International Medical Graduate (IMG)

A doctor whose basic medical qualifi cations were acquired in a county other than Australia. Also referred to as an overseas trained doctor (OTD).

Overseas Trained Specialist

A doctor whose specialist medical qualifi cations were acquired in a country other than Australia.

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Area of Need

An Area of Need is any location or position in which there is a lack of specifi c medical practitioners or where there are medical positions that remain unfi lled even after recruitment efforts have taken place over a period of time. These are determined by the state and territory governments and methods of defi ning them vary.

Most overseas trained doctors are required to work in an Area of Need when they fi rst come to Australia, unless they hold full Australian medical registration or have completed the standard pathway for specialist assessment or for general practice/family physician assessment.

Area of Need Applicant

An applicant for a medical position with a specifi c category of medical registration that requires him or her to work in an Area of Need.

Non-Area of Need Applicants

An applicant for a medical position that is not an Area of Need position.

Area of Need and Non-Area of Need Assessment Period

The assessment period begins when the college receives an application, with all accompanying documentation including payment, for recognition of specialist qualifi cations and ends when the applicant is notifi ed of the recommendation by mail.

Applicants may also be assessed by a variety of other parties outside of college processes, including the Australian Medical Council, Commonwealth and employers. The time taken for these is not included in data reported.

Assessment Outcome

The outcome of a college’s consideration of an application from an international medical graduate for recognition of his or her specialist qualifi cations or assessment of his or her skills against Area of Need position requirements.

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District of Workforce Shortage

A District of Workforce Shortage (DWS) is a geographic area in which the general population need for health care is not met. Population needs for health care are deemed to be unmet if a district has less access to Medicare services than the national average.

Remoteness Area

The Remoteness Area (RA) Structure within the Australian Bureau of Statistics Standard Geographical Classifi cation (ASGC) is produced by ABS.

RAs are based on the Accessibility/Remoteness Index of Australia (ARIA), where the remoteness index value of a point is based on the physical road distance to the nearest town or service in each of six population size classes based on the 2006 Census of Population and Housing. These classes are:

  • Major Cities
  • Inner regional
  • Outer regional
  • Remote
  • Very Remote
  • Migratory.